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HealthyLiving SEPTEMBER 12 - 18, 2018

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Helping Them To Remember The Alzheimer’s Disease Resource Center raises awareness for World Alzheimer’s month BY JENNIFER FAUCI jfauci@antonmediagroup.com


ot remembering where you left your keys or if you forgot to turn off the garage light, albeit an annoyance, is one thing. But not remembering your own life and being unable to recognize your loved ones is a truly heartbreaking way to go from day to day. Alzheimer’s disease is a progressive illness that affects and destroys memory and other mental functions, and while there are treatment options, there is unfortunately, still no cure. The Alzheimer’s Disease Resource Center (ADRC) is an organization with a continued mission is to support research that may lead to a cure for Alzheimer’s disease, to provide care, support and education programs for families in need, and to be advocates for local families who are coping with Alzheimer’s and other dementias. Mary Ann Malack-Ragona serves as the executive director and CEO of ADRC and she is responsible for quite a bit of what goes on at the center. “Everything that entails implementing the entire operation of the organization from financial aspects, grants, marketing and advertising to our programs which include art, music and equine therapy as well as support groups, that’s where I come in,” said Ragona, who has been with the Alzheimer’s Disease Resource Center since 2003. “The equine program out at Spirit’s Promise in Riverhead really lights up the faces of people with this disease and I hope it goes on in perpetuity.” In the 15 years she has been with the organization, she believes that while research for Alzheimer’s has come very far, there is still a long road to be traveled. She spoke of a moment in 2012 where she realized that a lot of

Alzheimer’s patients enjoy some equine therapy.

(Photo source: ADRC Facebook)

money that was supposed to be used for research was leaving Long Island to cover other financial expenses. “After watching this all these years

locally—we see about 3,000 a families a year that need help and support—to fund our research and make sure every penny of donations that come in

and seeing the federal government putting money into these projects, in reality we hadn’t moved very far,” she said of the plight to find a cure. “We refocused our resources more

are maximized.” Ragona noted that she believes 75 cents of every dollar should go to programs, adding that the ADRC donated a major gift to NYU in April

and has plans to make another donation to stem cell research in the fall. She also spoke of the project at NYU Winthrop with Allison Reiss, MD, who received a $10,000 grant ADRC to pursue research for her blood brain barrier project. “There is a huge belief that uncontrolled diabetes leads to memory loss and is a cause for Alzheimer’s disease as it progress,” said Ragona. “I had an opportunity to visit with the New York Stem Cell Foundation in Manhattan and they’re doing exciting and meaningful work in the world of diabetes

see HELPING THEM on page 6B

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30 Years Of Thoughtful Care The Long Island Alzheimer’s Foundation makes a difference in the lives of people impacted by dementia BY JENNIFER FAUCI jfauci@antonmediagroup.com

“With you every step of the way.” That is the mantra that graces the logo of the Long Island Alzheimer’s Foundation (LIAF), an organization founded by five Long Island women in 1988 with one goal in mind: to provide supportive community-based services to Alzheimer’s families in Long Island. As executive director of LIAF, Tori Cohen is involved in both developing its programs (she is a licensed social worker with more 20 years of experience), as well as overseeing its day-to-day operations. As LIAF celebrates three decades of service, Cohen, whose grandmother suffered with dementia, spoke about the importance of keeping the discussion about Alzheimer’s going and how the LIAF is working to make the journey manageable for both patients and caregivers.


Tell me about your role with the Long Island Alzheimer’s Foundation (LIAF). I have been with the organization since 2003 and since then, have been largely responsible for its growth. I have also spearheaded its recent relocation from Port Washington to its modern, more centrally located center in Westbury. I have used my personal experiences to help shape LIAF into the program it is today.


What are some ways LIAF is improving the quality of life for those living with Alzheimer’s disease and related forms of dementia? By supporting legislation that allows this population easier access to more services and providing families with direction, guidance and counseling to help them get the highest quality services available to them. Also, being


proactive in planning the details for the diagnosed individual’s future, in an effort to ensure that it’s what the diagnosed individual wanted (financial matters, living situation, etc). Our caregiver training provides caregivers with ideas to improve communication and solutions to resolve conflicts with the diagnosed individual, all the while preserving the individual’s independence and dignity. It’s important to keep them active, social and engaged during all of our programs


Does the organization do anything special for caregivers? LIAF understands how emotionally draining and exhausting it can be caring for a loved one with Alzheimer’s and related forms of dementia. Along with a variety of programs dealing with all stages of Alzheimer’s disease that offer caregiver respite—day programs, weekend drop-off programs, inhome respite programs—as well as several other services. Our caregiver support groups, which are facilitated by licensed social workers, provide guidance and emotional support, helping caregivers develop coping skills, maintain a positive mental attitude and ensure that they remember to take care of their own health needs as well. LIAF’S transportation services include wheelchair-accessible vehicles that provide door-to-door service to and from its center in Westbury for families in select areas of Nassau County. Dementia trained drivers and LIAF’s staff help ensure our participant’s safety and comfortability.


What programs are available through LIAF? LIAF offers a variety of programs specifically geared for those with early-stage, moderate-stage and late-stage Alzheimer’s that foster the individual’s independence, dignity and well-being. These include

day programs, which are available Monday through Friday from 10 a.m. to 4 p.m., providing caregivers with six hours of time to attend to their other responsibilities while their loved ones are mentally stimulated in an engaging program that accommodates their abilities; a weekend drop-off program, which is on Saturdays from 10 a.m. to 2 p.m. and includes a variety of fun activities including arts and crafts, exercise, brain games, music therapy and more; and in-home respite, which provides two hours of in-home respite every other week for Alzheimer’s families in Nassau County by trained respite workers provide cognitive activities for a caregiver’s loved one.


What has been accomplished within the organization since its inception? LIAF has grown with our handson programming from inception. LIAF has been able to individualize our programming and services to help our participants foster their independence and dignity throughout their journey. Some new services we have to offer are “Music and Memory” and “Early Stage Chorus.” These programs are instrumental in helping the loved ones and the diagnosed individual stay connected. Moving to Westbury in 2017 has made a positive difference in the lives of people impacted by Alzheimer’s disease and related forms of dementia—one person, one family, one community at a time.


How can someone get involved to help LIAF? LIAF also welcomes volunteers to spend time with our participants allowing us to provide that extra one-on-one care. Our “Forget You Not” volunteer program focuses on intergenerational interaction between young teens and the population living with this disease. Their mission is to bridge the generational gap

and create new memories for all. Attending, sponsoring and donating to our events is another way to help LIAF continue our mission. Visit our website and learn the many ways that you can help and stay tuned for how we will be celebrating our milestone anniversary. Long Island Alzheimer’s Foundation is located at 1025 Old Country Rd., Suite 115 in Westbury, NY 11590. For more information, call 516-767-6856 or visit www.liaf.org.

Upcoming Events Making Memories Cocktails and Casino Night Tuesday, Nov. 13 from 6 to 9 :30 p.m. The Mansion at Oyster Bay, 1 S. Woods Rd., Woodbury, NY 11797 Ticket, sponsorship and donation information is available at www.liaf.org. Caregiver Training A number of one-hour caregiver training sessions (early afternoons) are available at various locations throughout Nassau from mid-September through March 2019. Visit website at www.liaf.org for details. Making Memories at the Movies Hosted by LIAF, 1025 Old Country Rd., Suite 115, Westbury, NY 11590 Saturday, Sept. 15, Oct. 20, Nov. 17 at 1 p.m. Designed for people living with memory loss and their care partners. Individuals of all ages enjoy clips of classic films and television programs followed by guided conversation and reminiscence. Brain Fitness Workshop Thursday, Oct. 4 from 2 to 2:45 p.m. Merrick Public Library 2279 Merrick Ave., Merrick, NY 11566 Designed for individuals of any age who want to maintain and enhance their cognitive abilities.



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HELPING THEM from page 3B and Alzheimer’s. We believe at some point, their work will slow down or cure Alzheimer’s Disease.” The ADRC is also very big on education, with an understanding that individuals hired to take care of people with Alzheimer’s, do not always have the skills to do so correctly. According to Ragona, the ADRC has developed programs that bring new knowledge into the hands of physicians and informal caregivers. “Family caregivers who couldn’t get out or be part of an information group about programs and services can now find everything under one roof,” she said of the ADRC’s conference expo that featured 81 vendors covering the entire continuum of care for Alzheimer’s. “Attorneys, doctors who make house calls, home companion services, certified home health agencies, the VA for veterans’ benefits and assisted living, it’s all available information and so much can be accomplished at this event.”

The ADRC runs six support groups out of the Bayshore office and is affiliated with 35 supports groups across Nassau and Suffolk County. The organization also has several satellite offices for those who are unable to travel. As for getting involved with ADRC, it is a welcome and simple process. “We have a nice grouping of volunteers who do everything from making packets for families

Mary Ann Malack-Ragona (second from right) with ADRC’s Care Team to manning the reception desk. We also have a beautiful serenity garden donated by a family and we were able to bring a special luau night to the caregivers who couldn’t go out,” said Ragona of just how many groups

of people are involved. “It takes a village to do that. We are constantly in touch with our families to keep them abreast of what goes on and we’ll keep doing so until there is a cure.” The ADRC’s East End Walk for Alzheimer’s and Fall Festival will take place on Oct. 16 at the Long Island Aquarium in Riverhead. For more information on ADRC as well as upcoming events, call 631-580-5100 or visit www.adrcinc.org. The Alzheimer’s Disease Resource Center is located at 45 Park Ave., Bay Shore, NY.


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How-to Prevent Dementia And Maintain A Healthy Brain Being diagnosed with dementia does not have to be a death sentence. With World Alzheimer’s Day coming up on Sept. 21, there are many educational tools available to learn what we can do to prevent dementia and have a healthier way moving forward.


hile many focus on maintaining physical health—it’s equally important that we keep our brain healthy. Dr. Timothy R. Jennings is making it easy in his book, The Aging Brain: Proven Steps to Prevent Dementia and Sharpen Your Mind, which provides rock-solid research on how to prevent dementia. Jennings shares simple steps to prevent dementia, late-onset Alzheimer’s, and stop the progression of the disease in those with mild cognitive loss. Alzheimer’s disease is a subject that concerns more than 5.5 million people across the nation: how to prevent dementia and keep our mind sharp as we age. A psychiatrist and international speaker, Jennings prescribes simple, everyday actions we can take to stave off disease, promote

vitality, and prevent dementia and late-onset Alzheimer’s. “The choices we make now can help us to keep our minds sharp and maintain our independence as we age,” said Jennings. An easy-to-use guide to maintaining brain and body health throughout life, The Aging Brain is based on solid, up-to-date scientific research, and the interventions discussed can prevent progression toward dementia, even in those already showing signs of mild cognitive impairment. The recommendations also may help reduce disability and depression. “This book isn’t just for people hoping to slow the aging process,” said Jennings. “It’s also for anyone who is a caregiver to someone at risk of or already beginning to suffer from dementia. It offers a hopeful, healthy way forward.”

Dr. Timothy R. Jennings has authored several books, including The GodShaped Brain and The God-Shaped Heart. He is a Distinguished Fellow of the American Psychiatric Association and Fellow of the Southern Psychiatric Association, and is president and founder of Come and Reason Ministries. For more information about Jennings, visit www.agingbrainbook. com. The Aging Brain: Proven Steps to Prevent Dementia and Sharpen Your Mind is available for $11 on Amazon. —Anton Media Group


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Katz Institute for Women’s Health

Taking care of your health can start with something small, easy and even fun. At the Katz Institute, we know that women’s health needs are unique. That’s why we provide a wide range of services, including clinical programs, community health education and cutting-edge research for women throughout their life span. Join us for one of our upcoming educational events:

Women’s Wellness event: Reducing Your Risk of Cancer Throughout Your Life The foods you eat and the amount you exercise have a significant impact on your overall health. It may also play a part in your risk for cancer. Learn about simple lifestyle changes you can make to help reduce your risk. Wednesday, September 26, 2018 6:30pm to 8:30pm Long Island Marriott 101 James Doolittle Boulevard Uniondale, NY

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Core 4: Create Your WeightTM Program Lose weight and learn to make healthy lifestyle changes with this 12-week program. Topics discussed include: portions, meal planning, food labels, behavior modification and more. Program starts: September 27, 2018 2 Sessions Available: 12:00pm – 1:00pm 2000 Marcus Ave Conference Room 2 - 3rd Fl. New Hyde Park, NY 5:30pm – 6:30pm 1981 Marcus Ave, Suite E110 Large Conference Room Lake Success, NY

Baby University An innovative program for women and their partners Our classes are designed to provide new parents, grandparents, child care providers and those considering pregnancy with the necessary skills to help them and their children thrive socially, emotionally and physically. Upcoming classes: OBGYN at Huntington Hospital 752 Park Avenue Huntington, NY 11743 Pregnancy and Nutritional Health Thursday, September 20 6:30pm – 8:00pm Prenatal Pregnancy Fitness Thursday, September 27 6:30pm – 8:00pm

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Healthy And Creative Back-To-School Lunches School supplies—check. Outfit—check. Back-toschool lunch game plan—check. Teaching children about food and nutrition from a young age is crucial towards their health and wellbeing. A healthy diet can help children concentrate and learn at school, while also reducing their risk of developing obesity in years to come. Let’s commit to starting off the school year right and packing healthier lunchboxes for our kids. Here are a few simple tips that can make healthy lunches fun and nutritious:

Healthy Bento-Box Style Lunch Purchase a bento-box style reusable container that has separate compartments for food. Make sure the container is dishwasher-safe, durable, and made with non-toxic materials. Start with a lean protein such as rolled up turkey slices or Babybel cheese

wheels. Next, add a complex carbohydrate like seed crackers or rice cakes. Fill one compartment up with your child’s favorite veggie, such as baby carrots, sugar snap peas, sliced cucumbers or tomatoes. Then, include one serving of fruit such as a mandarin orange, apple slices, berries or a few grapes. Last but not least, add one “fun” food such as a piece of


fun size candy or a few animal crackers. This will ensure that all of the food groups are covered in an enticing way.

Get Creative With Presentation When it comes to lunch, kids tend to like a lot of variety since they can get bored with food easily. Sometimes, just changing the presentation of

food can be enough to entice your child to eat a healthy lunch. Try using a cookie cutter to create fun shapes with any sandwich. Plus, a cookie cutter helps to seal the sandwich and can make it easier to eat without falling apart. Another fun idea is making sandwich sushi rolls. Simply fill a whole-wheat wrap with low-sodium turkey breast, spinach and one whole string cheese. Wrap tightly, and then slice like you would with sushi. This makes lunch more handheld and easier for kids to eat during school.




Introduce Fun and Healthy Drinks

important parts of their day. This provides a teachable moment to talk about portion sizes and healthy choices, while also helping your child

learn how to navigate the kitchen. Your kids might come up with some fun school lunch ideas, too. Stefani Pappas, MS, RDN,

CDN, CPT, is a Clinical Dietitian Nutritionist at St. Francis Hospital. She also provides private nutrition counseling at her office in

Great Neck, NY. Visit her website www.stefhealthtips. com for more information or call 516-225-1745 to schedule an appointment.

We Here.For Now. LIAFAre Is Here You The Long Island Alzheimer’s Foundation (LIAF) is pleased to announce our relocation to 1025 Old Country Road in Westbury. Our centrally located, new Long Island Alzheimer’s Foundation (LIAF) is making a positive difference state-of-the-art center enables LIAF better provide critical, hands-on in the lives of people impacted bytoAlzheimer’s Disease and relatedprograms forms of and services more Long Island individuals, and caregivers, who are coping dementia bytooffering critical, hands-on programs and services—one person,

one one community at a time. with family, Alzheimer’s disease and other related forms of dementia. offer: WeWe offer: Programs early, moderate stages of Alzheimer’s nDay Day Programs forfor thethe early, moderate andand laterlater stages of Alzheimer’s In-home respite Caregiver trainings and support groups n In-home respite n Caregiver trainings and support groups n Transportation Transportation Whimsical Wednesdays Music & MemorySM n Whimsical Wednesdays n Music & MemorySM n Brain Fitness workshops Brain Fitness workshops Weekend Dropoff For 30 nearly 30 years, LIAFbelieved has believed that there is life worth living after For years, LIAF has that there is life worth living after diagnosis. Until there is a cure, we are here, now. To find out how diagnosis. Until there is a cure, we are here, now. To find out how we can help we you can help you and your loved one, please call 516-767-6856 and visit and your loved one, please call 516-767-6856 and visit our website: liaf.org our website: liaf.org

Compassion n Dignity n Respite


Instead of sugary soda and fruit juice, have your child pick out a fun reusable water bottle that may entice them to drink more water. Set an example at home by keeping a pitcher of water on the table at all meals. Add some fresh cut fruit for an infused water option (you can also purchase an infuser pitcher and start this practice at home). If your child insists on having some type of sweet beverage with lunch, try introducing a healthy drink such as naturally flavored seltzer, coconut water or organic chocolate milk. Keep an eye out as many juice brands are coming out with lower-sugar alternatives, such as Mott’s Sensibles. Use these tips to help guide you in creating healthy school lunches, and don’t forget to get the kids involved. Have your child help pack crackers for lunch or grab an apple out of the fridge, so they too can contribute to one of the most



Rep. Rice Introduces Bill To Increase Access To Alzheimer’s Services The bill will help those living with Younger-Onset Alzheimer’s Disease U.S. Representative Kathleen Rice recently announced she will introduce the Younger-Onset Alzheimer’s Disease Parity Act, which would amend the Older Americans Act of 1965 to serve individuals who are under the age of 60 years-old but living with younger-onset Alzheimer’s disease or other degenerative diseases. The announcement was made at the Long Island Alzheimer’s Foundation (LIAF) headquarters in Westbury, where Rep. Rice was joined by representatives from LIAF, the Alzheimer’s Association, Sid Jacobson JCC and NY-04 residents whose lives have been touched by younger-onset Alzheimer’s. The Older Americans Act (OAA) was originally enacted in 1965 and supports a range of home- and community-based programs for

the elderly, including meals-onwheels and other nutrition services, in-home care, adult day-care, transportation services, legal aid, elder abuse prevention and vital assistance and support for family caregivers. OAA programs, which are only available to Americans age 60 and older, have proven to be particularly essential to people living with Alzheimer’s. However, right now 5 percent of Americans with Alzheimer’s or approximately 250,000 people, are living with younger-onset Alzheimer’s, for which symptoms usually begin in a person’s 50s, but can start as early as their 30s or 40s. As a result, this population and their caregivers do not have access to the essential OAA-funded programs and services that many older people living with the same disease have grown to rely on. The Younger-Onset Alzheimer’s Disease Parity Act would address this issue by changing the OAA to make its

funding and programming available to Americans under the age of 60 who are living with Alzheimer’s or similar degenerative diseases. “Every American who is living with Alzheimer’s disease deserves access to the best available care, regardless of their age,” said Rice. “Those with younger-onset Alzheimer’s often begin to show symptoms in their 30s, 40s and 50s, when they still have young children, new homes and growing careers. Virtually overnight, these individuals and their families face unimaginable financial strain. But right now, they don’t qualify for the vital and affordable services offered under the Older Americans Act that many people with the same exact disease utilize and rely on every day.” “Too often people with younger-onset Alzheimer’s are excluded from services because of their age,” said Robert Egge, Alzheimer’s Association Chief Public Policy

Officer and AIM Executive Director. “This legislation would ensure that these individuals and their caregivers have access to the necessary services and support to help them throughout the continuum of this progressive and fatal disease. We are grateful to Congresswoman Rice for introducing this important legislation.” Connie Wassermann LCSW, Associate Executive Director, Sid Jacobson JCC noted that Alzheimer’s and other dementias can affect any one at any age. “They do not discriminate,” she said. “Because government funding cannot be used to serve those under 60 we’ve had to create our own program, the first of its kind, to help individuals and families living with younger-onset Alzheimer’s. We are grateful to Kathleen Rice for listening to the plight of younger families and for responding. This bill would allow us offer more resources to those who need them.”

Quality Care, Right Next Door The Bristal at Lake Success and The Amsterdam at Harborside redefine elder life BY JENNIFER FAUCI jfauci@antonmediagroup.com


ears ago, the term “assisted living” was considered an adult care service, often associated with another person, not a family member, taking care of an aging parent or relative. Now, “assisted living” means one thing for the elderly: community. With the main goal of quality care as the utmost important part of any elder care facility, The Bristal at Lake Success and The Amsterdam aim to breathe new life into giving the best generation a sense of community and a renewed love of life. With a mission to ensure that residents experience the absolute finest in assisted living today by providing extraordinary accommodations, delivering expert care and support, as well as ensuring a lifestyle that is healthy and active, The Bristal at Lake Success combines those values with the science of innovative memory care, creating a new kind of senior living community. The Bristal at Lake Success is also a highly customized and individually paced memory care

program dedicated to helping residents manage Alzheimer’s disease and other memory-related cognitive disorders. For the past 18 years, The Bristal Assisted Living has helped thousands of families by caring for loved ones living with Alzheimer’s disease, dementia and other memory-related cognitive disorders through the Reflections program, which redefines the care given to those patients suffering from memory diseases. Proud of its alliance with the Feinstein Institute of Northwell Health when it comes to memory care, the partnership enables residents to be significantly impacted by the research, findings and latest advancements in the field. The Amsterdam at Harborside is a senior retirement community that aims to capture the energy and vibrancy of life on Long Island for those who believe age is just a number. With inviting dining venues, social and educational opportunities, the convenience of an on-site fitness center, pool and spa and a staff of professionals at your service, The

Amsterdam is the first and only community in Nassau County to offer life care, meaning that residents know that caregivers are available if they ever need them, and that their monthly fee for independent living doesn’t change when they receive health care. Life care benefits include priority access to licensed quality senior health care, private enriched housing and nursing care suites as well as one-on-one memory support. The independent living community retains a freedom for seniors, as well as allowing them to focus on what is truly important in their life,

be it friends, family, travel, classes or volunteering. Whichever path you choose for you loved one, they are sure to receive the best in quality care, amenities and the support they need to continue living their best life. The Bristal at Lake Success is located at 69 N Service Rd., Lake Success, NY. For more information, call 516-600-1800 or visit www. thebristal.com/lake-success. The Amsterdam at Harborside is located at 300 E Overlook, Port Washington, NY. For more information, call 516472-6610 or visit www.the amsterdamatharborside.com.



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Relaxing At Om

September is National Yoga Month BY JENNIFER FAUCI jfauci@antonmediagroup.com


ational Yoga Month is an awareness campaign held during the month of September to educate about the health benefits of yoga and to inspire a healthy lifestyle. And there are many benefits. While decreasing stress, strengthening flexibility and muscle and achieving a deeper spirituality are the obvious benefits, yoga also helps to lower blood pressure, enhance brain function, increase mental function and assist in weight loss. The Yoga Health Foundation is a 501c3 nonprofit organization that fosters an awareness of yoga’s proven health benefits and provides individuals with actionable guidance and tools to enhance their own well-being. The foundation coordinates the national (and global) awareness campaigns Yoga Month and Yoga-Recess and provides online resources for visitors to locate yoga teachers,

studios and events near them. Throughout the month of September, the practice of yoga is celebrated and for those who are new to the practice and wish to experience it, they are encouraged to try a free week of yoga classes at studios across the country by printing a “One Week Free Yoga” card from the website. For more information on yoga, visit www.yogahealthfoundation. org. In the mean time, check out these local studios that offer yoga classes to get your mind, body and soul into the spirit of living a healthier life. Absolute Yoga 1 Guilles Lane, Woodbury 516-682-9642 Emerge Yoga 623 Broadway, Massapequa 516-781-1078 Hot Yoga 143 Voice Rd., Carle Place 516-385-6787

Revolution Yoga 7 North Village Ave., Rockville Centre 516-619-6421 The Yoga Shack 100 Benkert St., Bethpage (second floor) 516-395-0121 Body In Balance 111 E Jericho Turnpike, Mineola 516-747-4997 Pilates In Port 2, Haven Ave., Suite 225, Port Washington 516-767-8109 Practice Mind Body and Soul 1500 Old Northern Blvd., #3, Roslyn 516-858-3095 Om Sweet Om Yoga 12 Irma Ave., Port Washington 516-944-9642

RETIREMENT LIVING RIGHT NEXT DOOR LIMITED OPENINGS AVAILABLE SCHEDULE YOUR PERSONAL TOUR TODAY. Located in the heart of Long Island’s Gold Coast, The Amsterdam at Harborside is a not-for-profit continuing care retirement community which offers the best of independent living with assistance and healthcare if ever needed, all under one roof. With close proximity to Manhattan’s culture and a full agenda of on-site opportunities, you can be as engaged or relaxed as you want to be! Options include Independent Life Care as well as the opportunity for rental when you move directly into Assisted Living or Memory Support. Is The Amsterdam at Harborside right for you? Come visit our warm and connected community today to find out.

300 E. Overlook, Port Washington, NY 11050 | www.TheAmsterdamAtHarborside.com Operated by Amsterdam House Continuing Care Retirement Community Inc., a not-for-profit organization.

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Alcohol And Your Liver A

s we say goodbye to another summer and begin to plan for the change in seasons and upcoming sports seasons, we also begin to think of alcohol use and how it affects us. With the advancements in the treatment of hepatitis C has come a decline in the number of patients with hepatitis C needing a liver transplantation. Cirrhosis from alcohol use has replaced hepatitis C as the leading indication for liver transplantation in America. The million-dollar question is “ Who gets liver disease from alcohol use?” Millions of Americans drink alcoholic beverages yet very few will ever develop liver issues. Alcohol causes a spectrum of liver disease from fatty liver to acute hepatitis to cirrhosis and its complications. As little as two glasses of wine a day can cause significant liver disease, especially in women. Women

THE SPECIALIST David Bernstein, MD

in general more prone to alcohol related liver disease than men are. Alcoholic fatty liver is the most common condition caused by alcohol. This condition is usually benign and can be reversed simply by stopping drinking. People who develop abnormal liver tests following alcohol intake that normalize in the absence of drinking should take heed that they are at increased risk for the development of more significant scarring and cirrhosis

with continued alcohol use. Those people had a warning shot that they responded to and they should never drink any alcohol again. Alcoholic hepatitis is caused by binge drinking on top of chronic liver disease. People with alcoholic hepatitis seek medical attention with a multitude of complaints such as nausea, pain over the right upper area of the abdomen, lowgrade fever, and jaundice. On examination, the liver is enlarged and tender to palpation. When blood testing is done, the liver tests are elevated and the bilirubin is high. In a many people with this condition, survival is less than fifty-fifty and patients progress to liver failure, bleeding and death. Mostly, these patients are not candidates for liver transplantation although some transplant centers will transplant select candidates even if they were drinking

up until the day they are admitted to a hospital. Alcoholic hepatitis occurs in about twenty percent of percent of heavy drinkers and only occurs in people with significant underlying liver scarring. Therefore, having alcoholic hepatitis means that the person has significant liver disease and is in trouble. The treatment is a combination of nutrition and steroids for severe cases, in the short term. The only way to prevent recurrence is to stop all alcohol intake. Cirrhosis caused by alcohol looks no different than most other causes of cirrhosis, although the risk of developing liver cancer may be higher. Most people with alcoholic cirrhosis are malnourished and will progress to some type of complication ranging from weight loss, jaundice, liver failure, esophageal variceal bleeding, ascites, confusion and liver cancer.


The treatment of alcoholic cirrhosis is cessation of alcohol intake and management of complications. Eventually, liver transplantation can be used to treat end stage disease. So what is the take home message regarding alcohol and the liver. In the vast majority of people, responsible alcohol use will not lead to liver disease. Advanced liver disease from alcohol may occur with greater frequency in smaller individuals, especially women and young adults. Alcohol use should be avoided in patients with underlying liver disease, especially those with chronic hepatitis C. Overall, the use of alcohol requires good common sense. Everything in moderation, nothing in excess, remains a good axiom to live by. If there are any concerns about alcohol use, these concerns should be addressed to your physician.

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New Medicare Cards In The Mail The Centers if they haven’t yet for Medicare and already. Medicaid Services Key features (CMS) have begun include: Social automatically mailSecurity Numbers ing new Medicare have been replaced cards to more than with new unique 3.5 million people identifying numwith Medicare in (Photo source: www.medicare.gov) bers and are no New York State. longer on the new CMS is mailing the new Medicare Medicare, helping protect people cards in geographic waves. People from identity theft and CMS fight with Medicare in Connecticut, Maine, fraud; the new Medicare card is Massachusetts, New Hampshire, New free, which helps to avoid scammers Jersey, Rhode Island and Vermont by knowing that CMS will not call will also be receiving their new card. people with Medicare asking for Those with Medicare in these states any personal information, a Social Breakfast will be served at the and New York should have received Security Number, bank information conference. Space is limited. RSVP their new card and can begin using it or to pay for the new Medicare card; by calling 516-485-3425. right away. Work on this initiative be- those with Medicare can sign up for This program is funded by gan with the passage of the Medicare email notifications by visiting www. Lifespan of Greater Rochester, Inc., Access and CHIP Reauthorization Act medicare.gov/newcard and most under the Elder Abuse Education of 2015 (MACRA). importantly, there are no changes to and Outreach Program grant, in The new Medicare card helps Medicare benefits. agreement with the Monroe County people with Medicare detect and Once cardholders have received Office for the Aging and New York avoid identity theft, scams and fraud, a new Medicare card, they should State Office for the Aging. as well as provide updates on the roll- destroy the old Medicare card by For more information about The out process so those with Medicare shredding or cutting it with scissors. Family & Children’s Association, in New York can check the status of —Submitted by the Centers for visit www.familyandchildrens.org. when they will receive their new card, Medicare and Medicaid Services Trust Your Body to New York’s Top Body Contouring Specialist

FCA To Hosts Elder Abuse Awareness And Prevention Conference The Family & Children’s Association (FCA) will hold an Elder Abuse Awareness & Prevention Conference on Thursday, Sept. 27, from 9:30 a.m. to 12 p.m. at the Holiday Inn, 269 Old Country Rd., Westbury. The conference will teach attendees how to recognize all kids of elder abuse, tips and tools to prevent and protect yourself or others from exploitation and provide links to supportive community services.

Trust Your Body to New York’s Top Body Contouring Specialist Trust Your Body to New York’s Top Body Contouring Specialist

With age and child birth, some women struggle with their body’s shape and contours. For many, their breasts have lost their shape an have loose and stretched skin, a protruding tummy or “pooch”, and fat pockets that are resistant to diet and exercise. For some wome their prefered body shape may be near impossible without a little surgical help. For these patients Dr. Cuber performs a combination of p With age and child birth, some women struggle with their body’s shape and contours. For many, their breasts have lost their shape and volume, often referred to as a Mommy Makeover that targets trouble areas such as the breasts, tummy, hips, a

have loose and stretched skin, a protruding tummy or “pooch”, and fat pockets that are resistant to diet and exercise. For some women, getting their prefered body shape may be near impossible without a little surgical help. For these patients Dr. Cuber performs a combination of procedures Dr. Cuber will often combine a breast (sometimes alongtrouble with aareas breast lift) perkier often referred to as augmentation a Mommy Makeover that targets such as for the fuller, breasts, tummy,looking hips, andbreasts, flanks. a mini-tum

ge and child birth, someremove women struggle with their body’s shape and contours. For many, their breasts hav excess skin and flatten and tighten the abdomen utilizing a short, hidden incision, and liposuction to contour the waistline area Dr. Cuber often combine breast augmentation (sometimesutilizes along a breast lift) forincision fuller, perkier looking breasts,tummy a mini-tummy to you can hourglass curves. Hisa tummy mini-tummy tuck“pooch”, procedure a fat much smaller than a traditional tuckdiet sotuck that still oose and stretched skin, a will protruding or andwith pockets that are resistant to and exerc remove excess skin and flatten and tighten the abdomenbikini. utilizingThe a short, hidden incision, andprocedures liposuction totruly contour the to waistline combination of these helps restorearea, yourcreating figure - and your c refered body shape may be curves. nearHisimpossible without a little For these Dr. hourglass mini-tummy tuck procedure utilizes a much surgical smaller incisionhelp. than a traditional tummy tuckpatients so that you can still Cuber wear your perform bikini. The combination of these procedures truly helps to restore your figure - and your confidence. often referred to as a Mommy Makeover that targets trouble areas such as the br Breast Augmentation, Breast Lift,

Liposuction, Tummy Tuck, Arm Lift,

Breast Augmentation, T

Liposuction Gynecomastia, Inverted Nipple Butt Lift, Arm Body Lift, Ab Etching Tummy Tuck, looking ber will often combine a breastBreast augmentation along with aLift,breast lift) Breast for Augmentation, fuller, perkier Augmentation, Breast Lift, (sometimes Liposuction, Tummy Tuck, Liposuction Gynecomastia, Inverted Nipple Butt Lift, Body Lift, Ab Etching e excess skin and flatten and tighten the abdomen utilizing a short, hidden incision, and liposuction to conto Shain Cuber, M.D. is a board certified plastic surgeon Shain Cuber, is a board certifiedutilizes plastic surgeon ass curves. His mini-tummy tuckM.D. procedure a much smaller incision than a traditional tummy tuck specializing inand breast body procedures. To learn specializing in breast bodyand procedures. To learn about the Mommy or to schedule bikini. combination of these procedures truly helps to restore you more more about the Mommy MakeoverMakeover or The to schedule

your consultation with Dr. Cuber, call our your consultation with Dr. Cuber, please callplease our GreatGreat Neck office (516) at 472-7846 or visit us ator visit us at Neckatoffice (516) 472-7846 breastandbodyplasticsurgery.com. breastandbodyplasticsurgery.com.

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New Prostate Biopsy Procedure Eliminates Risk Of Infection


eptember is Prostate Cancer Awareness Month. Prostate cancer affects one in six men in the US. Urologists recommend men between the ages of 50 and 75 get a prostate screening, which includes a discussion with a physician, a prostate-specific antigen (PSA) blood test and prostate exam. Other things that can increase your risk for prostate cancer include your family history and geography and ethnic background. Urologists at Northwell Health’s Smith Institute for Urology recently started offering a new biopsy procedure which samples tissue from the prostate to potentially detect cancer— and eliminates the risk of infection. The procedure, known as a transperineal biopsy, is an important step forward

for prostate health because it avoids risk of infection by inserting needles into the perineum to reach the prostate. The standard technique, transrectal biopsy, guides the needles through the rectal wall, where fecal bacteria can cause contamination. “We are looking at the transperineal biopsy because transrectal procedure has a history of causing sepsis, with up to five percent of men getting infections, which has been cited in scientific urologic literature nationally for decades,” said Michael Schwartz, MD, director of laparoscopic and robotic surgery at the Smith Institute for Urology. “Patients with these infections need to be hospitalized and require intravenous antibiotics. The transperineal biopsy is a huge advantage and offers patients a safe alternative

with a virtually zero risk of infection.” Schwartz said the transperineal biopsy, which takes about 10 to 15 minutes, is performed in an outpatient setting under local anesthesia. Using the standard rectal ultrasound, the new technology allows physicians to pass a needle through the perineum and perform multiple biopsies through one entry and easier access to certain areas of the prostate. “Taking away the infection risk in the biopsy procedure is a game changer,” said Louis Kavoussi, MD, chair of urology at Northwell Health. “Approximately 30 to 40 percent of patients we treat with low-grade prostate cancer are under surveillance. This means men must have biopsies every couple of years. Patients are always concerned about how they

Dr. Michael Schwartz

(Photo by Prostate Media)

can reduce their risk for infections and this new method removes barriers to care.” The Smith Institute of Urology is among a handful of institutions in the nation offering the transperineal prostate biopsy along with urologists in other countries. Schwartz said the urology institute anticipates

performing 500-600 transperineal biopsies each year. He said the new, safer procedure is “a wave that has come to urology” and will likely be commonplace in five years. For more information, call the Smith Institute for Urology at 516-734-8500. —Submitted by Northwell Health


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Parker Jewish Institute’s Social Adult Day Care Program Receives Top Ranking


arker Jewish Institute for Health Care and Rehabilitation is proud to announce that Parker’s Social Adult Day Care Program, Parker On Madison, was ranked in the top three category in the Long Island Business News Reader Ranking Survey. The two other Skilled Nursing Facilities receiving top three rankings were Gurwin Jewish and Cold Spring Hills. The survey results appeared in the Long Island Business News (LIBN) Special 2018 Reader Ranking Section, published in print and online on August 31, 2018. LIBN gathers nominations from readers for the best companies in a variety of categories. Based on those nominations, LIBN creates a “Best Of” survey with those nominees on the ballot, plus a space where voters can writein their own choices. Next, LIBN sends out their survey to its subscribers. Every vote is counted. Readers can vote for approximately a two week

Michael N. Rosenblut, President and CEO at Parker Jewish Institute period—this year, LIBN held their survey voting during July. LIBN then closes the survey, gathers and tabulates the results. The “Best Of” categories included: Arts & Entertainment; Construction & Design; General Business; Education; Finance, Investments & Insurance; Hospitality & Tourism; Health Care; Information Technology; Law; Real Estate; Long Island Based Organizations, Nonprofits & Networking Groups.

This year LIBN had more than 1,600 votes cast in their Reader Ranking Survey. In the Health Care category, readers were asked to rank Skilled Nursing Facilities with the Best Adult Day Health Care and/or Social Adult Day Care Programs, and there were 425 votes cast. Of those votes, Gurwin Jewish, Cold Spring Hills and Parker Jewish came out with the top three rankings. (The Health Care category also included Best Hospitals Nassau, Best Hospitals Suffolk, and Best Senior Living Facility.) “Thank you to everyone who voted for Parker Jewish Institute for Health Care and Rehabilitation, and for ranking Parker’s Social Adult Day Care Program as one of the best on Long Island,” said Michael N. Rosenblut, Parker’s president and CEO. “We are grateful to the readers of Long Island Business News for this recognition, and we congratulate all of the winners in every category.” Parker On Madison offers a

Central Island Healthcare And Daleview Care Center Receive Top Ranking


he Centers for Medicare and Medicaid recently released their first ever national ranking for all 15,421 Skilled Nursing Facilities (in-patient short-term physical rehabilitation centers and nursing homes) in the country based on their success in avoiding unnecessary hospitalizations. Studies have shown that it greatly benefits frail and elderly patients to be treated in-place and avoid the ping-pong back and forth from the Skilled Nursing Facility (SNF) to the hospital to receive care and treatment. For this reason, a major emphasis has been put on SNF’s nationally to raise their clinical standards and capabilities to be able

to properly treat patients in-house when their health takes a turn for the worse. It is worth noting that two local family owned and operated Skilled Nursing Facilities, with common ownership and management, have scored in the top ranking nationally in this inaugural ranking release. Central Island Healthcare (Plainview) and Daleview Care Center (Farmingdale) have both scored a SNF Program Rank of number one for avoiding unnecessary rehospitalizations. This is in addition to both facilities already scoring high rankings in the Centers for Medicare and Medicaid Five-Star Quality Rating, the overall government rating given

unique Social Adult Day Care center for the frail elderly, while providing relief and support for caregivers and families. The modern, clean facility features stimulating physical, cultural and social activities, entertainment and

is a leading provider of Short Term Rehabilitation and Long Term Care. At the forefront of innovation in patient-centered health care and new technology, the Institute is also a leader in teaching and geriatric

nutritious meals. The center’s professional staff provides a caring and nurturing environment. They accept Managed Medicaid, FIDA, PACE, other insurance plans and private pay. Door to door transportation for clients is provided. Parker On Madison is located at 92 Madison Avenue, Hempstead, New York. Call for an appointment at 877-727-5373. Parker Jewish Institute, conveniently located at the Queens-Nassau County border in New Hyde Park,

research. Parker Jewish Institute features round-theclock clinical teams, and is nationally renowned as a Skilled Nursing Facility, as well as a provider of community-based health care, encompassing Social Adult Day Care, Home Health Care, Palliative Care and a Hospice Program. For more information contact Lina Scacco at 718289-2212 or email lscacco@ parkerinstitute.org. —Submitted by Parker Jewish Institute

to Skilled Nursing Facilities based on their health inspections, staffing levels, and quality measures. “It takes a village to deliver a high level of care and service, and I am very proud of all of our staff—our physicians, medical professionals, clinical and non-clinical staff who all worked very hard to make this

happen,” said Executive Director Michael Ostreicher. “I am happy for them that they are being recognized for their efforts. However, it doesn’t stop here. We will continue to work hard to constantly grow and improve our services and capabilities.” —Submitted by Central Island Healthcare and Daleview Care Center

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Healthy Living 09-12-18  

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